Ever see "FULL LET" for code status?

[shygoofyone]

We had a new Doc start yesterday in the ER and for a patient with a uniform DNR order, he wrote "Code Status: Full LET" None of us, including nurses with over 30 years experience, have ever seen this term. We asked him what it meant, and he said "that's what you write..." then sat down to try to find the damned meaning on Google! I'm terrified that he's going to be working alone on 24 hour shifts....talk about handholding! Aside from that...has ANYONE ever seen this?

[noyesno, MSN, APRN, NP]

I think the "L" might stand for limitations and the "T" might stand for treatment. Can't think of what the "E" stands for...

[xtxrn, ASN, RN]

Extraordinary ???

[Esme12, ASN, BSN, RN]

Haha, I always forget. It doesn't mean LET them die but I always think it does.

If they aren't a full LET, it means they want at least one of the three (CPR, meds, intubation).

But what does L.E.T. stand for......I have practiced in many parts of the country and this one is new for me.

Altra....Though I have worked with a few professionals who consider anyone who does not use the same lingo to be "clueless" or "scary". quote.

I have experienced this personally.......when I moved to the East coast I was in a trauma room when I was asked to get the DEAD patient a "Johnnie"......where I come from a "John" is the bathroom, someone's "Johnson" is reference to his.....private part, and the "Johnny Hopper" is where the bedpans were dumped. So I am sure this dead patient didn't need a commode. When I seemed confused and I asked what's a "Johnnie" was the nurse sighed deeply and for a long time.....rolled her eyes and stated......."I THOUGHT YOU CAME WITH EXPERIENCE":rolleyes: I wanted to walk around with a sign that said ......I'm not stupid I just don't know the language:lol2:.

A Water fountain is a bubbler, Soda/tonic is pop, jimmies are sprinkles, pops are beers, frappes are milk shakes and if you ask for a milk shake they bring you shaken milk......who knew???

[Mulan]

No clue - haven't heard of LET but why didn't anyone call and ask the MD? Isn't that what you do when you have orders that you can't understand? Best to be safe than guess - get some clarification.

According to the original post, that's exactly what she did.

[Biffbradford]

Full Life Extending Treatments?

[noyesno, MSN, APRN, NP]

I think it might be Limitation of Emergency Treatment?

[wooh, BSN, RN]

Well now I want to know what the LET stands for AND want to know what a johnny is!!

[Altra, BSN, RN]

A johnny is a gown ... the term is used in the New England region.

[princess pickles]

I had an instructor from Maine and to her a Johnnie was a gown.

[noyesno, MSN, APRN, NP]

Figured it out!

Google "Limitation of Emergency Treatment LET"

Click on the PDF entitled, "Faculty Handbook - University of Illinois at Chicago"

On page 13, you can read all about LET orders!

[tokmom, BSN, RN]

Let's hope this pt keeps on breathing so the OP doesn't have to find out the hard way what LET means.

I have no clue...none.

Johnnie is a gown? Never would have guessed that one.

In the PNW, a pop is a soda. People use both.

[caliotter3]

Figured it out!

Google "Limitation of Emergency Treatment LET"

Click on the PDF entitled, "Faculty Handbook - University of Illinois at Chicago"

On page 13, you can read all about LET orders!

Yay!